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Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. | PSNet

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March 09, 2022 - Commentary Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Citation Text: Tejos R, Navia A, Cuadra A, et al. Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Aesthetic Plast Sur…

How teams work—or don’t—in primary care: a field study on internal medicine practices. | PSNet

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November 28, 2012 - Study How teams work—or don’t—in primary care: a field study on internal medicine practices. Citation Text: Chesluk BJ, Holmboe ES. How teams work--or don't--in primary care: a field study on internal medicine practices. Health Aff (Millwood). 2010;29(5):874-879. doi:10.1377/hlthaff.2009…

Effect of critical access hospital conversion on patient safety. | PSNet

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October 19, 2022 - Study Effect of critical access hospital conversion on patient safety. Citation Text: Li P, Schneider JE, Ward MM. Effect of critical access hospital conversion on patient safety. Health Serv Res. 2007;42(6 Pt 1):2089-108; discussion 2294-323. Copy Citation Format: Google…

Supporting a psychiatric hospital culture of safety. | PSNet

psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety

March 11, 2020 - Study Supporting a psychiatric hospital culture of safety. Citation Text: Mahoney JS, Ellis TE, Garland G, et al. Supporting a psychiatric hospital culture of safety. J Am Psychiatr Nurses Assoc. 2012;18(5):299-306. doi:10.1177/1078390312460577. Copy Citation Format: DOI …

The influence of resident involvement on surgical outcomes. | PSNet

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October 11, 2017 - Study The influence of resident involvement on surgical outcomes. Citation Text: Raval M, Wang X, Cohen ME, et al. The influence of resident involvement on surgical outcomes. J Am Coll Surg. 2011;212(5):889-98. doi:10.1016/j.jamcollsurg.2010.12.029. Copy Citation Format: …

Risk management: extreme honesty may be the best policy. | PSNet

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January 04, 2017 - Study Classic Risk management: extreme honesty may be the best policy. Citation Text: Kraman SS, Hamm G. Risk management: extreme honesty may be the best policy. Ann Intern Med. 1999;131(12):963-967. Copy Citation Format: Google Scholar PubMed Bi…

Structuring feedback and debriefing to achieve mastery learning goals. | PSNet

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September 02, 2020 - Study Structuring feedback and debriefing to achieve mastery learning goals. Citation Text: Eppich W, Hunt EA, Duval-Arnould JM, et al. Structuring feedback and debriefing to achieve mastery learning goals. Acad Med. 2015;90(11):1501-8. doi:10.1097/ACM.0000000000000934. Copy Citation …

Anticoagulation-associated adverse drug events. | PSNet

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July 26, 2023 - Study Anticoagulation-associated adverse drug events. Citation Text: Piazza G, Nguyen TN, Cios D, et al. Anticoagulation-associated Adverse Drug Events. Am J Med. 2011;124(12). doi:10.1016/j.amjmed.2011.06.009. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education. | PSNet

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July 19, 2023 - Study Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education. Citation Text: Christiansen A, Robson L, Griffith-Evans C. Creating an improvement culture for enhanced patient safety: service improvement learning in pre-reg…

Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center. | PSNet

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July 22, 2020 - Study Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center. Citation Text: Strunk LB, Matson AW, Steinke DT. Impact of a Pharmacist on Medication Reconciliation on Patient Admission to a Veterans Affairs Medical Center. Hosp Pharm.…

Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. | PSNet

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February 18, 2015 - Study Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. Citation Text: Andersen PO, Maaløe R, Andersen HB. Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. Resuscitation. 2010;81(3):312-316. doi:10.…

An IDEA: safety training to improve critical thinking by individuals and teams. | PSNet

psnet.ahrq.gov/issue/idea-safety-training-improve-critical-thinking-individuals-and-teams

May 25, 2016 - Commentary An IDEA: safety training to improve critical thinking by individuals and teams. Citation Text: Browne AM, Deutsch ES, Corwin K, et al. An IDEA: Safety Training to Improve Critical Thinking by Individuals and Teams. Am J Med Qual. 2019;34(6):569-576. doi:10.1177/106286061882068…

Reflection and analysis of how pharmacy students learn to communicate about medication errors. | PSNet

psnet.ahrq.gov/issue/reflection-and-analysis-how-pharmacy-students-learn-communicate-about-medication-errors

April 12, 2011 - Study Reflection and analysis of how pharmacy students learn to communicate about medication errors. Citation Text: Noland CM, Rickles NM. Reflection and analysis of how pharmacy students learn to communicate about medication errors. Health Commun. 2009;24(4):351-60. doi:10.1080/104102…

Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. | PSNet

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October 06, 2021 - Commentary Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. Citation Text: Vance ME, Proctor T, Schmidt KA. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. AORN J. 2021;113(6):635-642. doi:10.1002/ao…

Chief resident for quality improvement and patient safety: a description. | PSNet

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July 02, 2014 - Commentary Chief resident for quality improvement and patient safety: a description. Citation Text: Cox LAM, Fanucchi LC, Sinex NC, et al. Chief resident for quality improvement and patient safety: a description. Am J Med. 2014;127(6):565-8. doi:10.1016/j.amjmed.2014.02.034. Copy Citat…

Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. | PSNet

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April 08, 2020 - Study Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. Citation Text: Wickramasekera N, Hole AR, Rowen D, et al. Exploring the factors that drive clinical negligence claims: stated preferences of those who have…

Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards. | PSNet

psnet.ahrq.gov/issue/track-trigger-and-teamwork-communication-deterioration-acute-medical-and-surgical-wards

August 06, 2014 - Study Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards. Citation Text: Donohue LA, Endacott R. Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards. Intensive Crit Care Nurs. 2010;26(1):10-7. doi:…

The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio. | PSNet

psnet.ahrq.gov/issue/effect-opioid-prescribing-guidelines-prescriptions-emergency-physicians-ohio

April 24, 2018 - Study The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio. Citation Text: Weiner SG, Baker O, Poon SJ, et al. The Effect of Opioid Prescribing Guidelines on Prescriptions by Emergency Physicians in Ohio. Ann Emerg Med. 2017;70(6):799-808.e1. doi:1…

Disruptive behaviour in the perioperative setting: a contemporary review. | PSNet

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March 06, 2024 - Review Disruptive behaviour in the perioperative setting: a contemporary review. Citation Text: Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x. Copy …

Inpatient housestaff discontinuity of care and patient adverse events. | PSNet

psnet.ahrq.gov/issue/inpatient-housestaff-discontinuity-care-and-patient-adverse-events

July 02, 2008 - Study Inpatient housestaff discontinuity of care and patient adverse events. Citation Text: Fletcher KE, Singh S, Schapira MM, et al. Inpatient Housestaff Discontinuity of Care and Patient Adverse Events. Am J Med. 2016;129(3):341-7.e21. doi:10.1016/j.amjmed.2015.11.008. Copy Citation …

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